Related factors of cognitive behavior therapy for adults with attention-deficit/hyperactivity disorder
10.3969/j.issn.1000-6729.2017.12.002
- VernacularTitle:成人注意缺陷多动障碍认知行为治疗疗效相关因素
- Author:
Meng-Jie ZHAO
1
;
Fang HUANG
;
Yan-Fei WANG
;
Yu-Feng WANG
;
Qiu-Jin QIAN
Author Information
1. 北京大学第六医院
- Keywords:
adults;
attention-deficit/hyperactivity disorder;
cognitive behavior therapy;
early efficacy;
Barratt Impulsivity Scale
- From:
Chinese Mental Health Journal
2017;31(12):941-947
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the related factors to the effect of cognitive behavior therapy (CBT) for adults with attention-deficit/hyperactivity disorder(ADHD).Methods:A prospective and open-label,self-control study was designed.Eighty-five adult patients from outpatient department with ADHD diagnosed with the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ).All the patients received 12 weeks of CBT,the ADHD Rating Scale (ADHD-RS) was used to evaluate ADHD core symptoms,and according to the post-treat ADHD-RS reduction ratio,41 patients were divided into responders(ADHD-RS reduction ratio≥25％)and 44 patients were divided into non-responders(ADHD-RS reduction ratio ＜ 25％).The t-test and chi-square test were used to analyze the differences of sociodemographic variables,clinical variables and early efficacy (ADHD-RS reduction ratio≥25％ in the fourth week) between the two groups,and logistics regression was used to analysis the related factors.Results:Comparing with the group of non-responders,there was more cases with early efficacy (P ＜ 0.05)in the group of responders.Logistic models indicated that higher scores of BIS-motor (OR =1.27),early efficacy (OR =11.87) were associated with better CBT efficacy.Conclusion:It suggests that ADHD adults with more sever motor impulsiveness symptom,and early efficacy may get favorable response to CBT.
